EFTA00034379.pdf
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- pdf
- Source set
- data-set-8
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Extracted text
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?Tait & me-;-
PLEASE RETURN LOG TO PSYCHOLOGY AFTER
THE OBSERVATION HAS ENDED.
THANK vnu.
ITEMS ALLOWED:
Regular Clothes
Safety Toothbrush
Newspaper/Magazine
Books (softcover only)
Safety Pen and Paper
Toilet Paper
Legal Mail
Other
SW Blanket & SW Mattress must be used even on
Psych Observations.
.d If nothing is checked with a silver marker, only a
Suicide Smock and Suicide Blanket are allowed.
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SDNY 00010876
EFTA00034379
Name of Inmate On Suicide Watch or Psych Observation:
Registration #: 4-1631X-(1)5t/
EATING/SHOWER CHART
Erk n
DATE
BREAKFAST
LUNCH
L., '"
46
DINNER
LIQUIDS
OFFERED
SHOWER
RECEIVED
SHOWER
Please check the appropriate box if the person on
Suicide Watch/Psych Observation actually eats his
meal. Do not check the box if he just received it,
but did not eat it.
Place a check in the "Liquids" box each time the
person drinks.
Thank you.
CONFIDENTIAL
SDNY_00010877
EFTA00034380
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